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General NPI Number Information
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NPI Number | 1396843207
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Entity Type | Organization
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Legal Business Name | LOWER ALABAMA RADIOLOGY
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/15/2010
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Provider Practice Location Address
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Address Line | 401 MEDICAL PARK DR
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City | ATMORE
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State | AL
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Zip | 36502-3006
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Country | US
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Telephone | 251-460-0326
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Fax | 251-460-2846
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Provider Business Mailing Address
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Address Line | PO BOX 91341
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City | MOBILE
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State | AL
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Zip | 36691-1341
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Country | US
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Telephone | 251-460-0326
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. LARRY J ARCEMENT
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Credential | MD
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Telephone | 251-368-6379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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